Provider Demographics
NPI:1710425335
Name:NATIONAL BIRTH CENTERS INC
Entity type:Organization
Organization Name:NATIONAL BIRTH CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KELLLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-836-3343
Mailing Address - Street 1:1141 N LOOP 1604 E # 105436
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1339
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4630 AMBASSADOR CAFFERY PKWY STE 214
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6949
Practice Address - Country:US
Practice Address - Phone:281-836-3343
Practice Address - Fax:866-399-0991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL BIRTH CENTERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-02
Last Update Date:2024-12-22
Deactivation Date:2018-11-06
Deactivation Code:
Reactivation Date:2024-07-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing